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Nationwide rates for HCPCS 77300

Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $47.86 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $125.89 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $177.83 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $41.69 / $141.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $165.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.90 / $40.74 / $75.86
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $47.86 / $93.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.94 / $45.71 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $104.71 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.51 / $48.98 / $95.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $54.95 / $102.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $85.11 / $147.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $38.90 / $70.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $43.65 / $79.43